The nurse assesses a client's temperature to be 99.8 degrees F. Which of the following nursing diagnoses would be appropriate for the client at this time?
1. Risk for Imbalanced Body Temperature
2. Hyperthermia
3. Anxiety
4. Deficient Fluid Volume
1. Risk for Imbalanced Body Temperature
Rationale:
The client's temperature is slightly elevated, which places the client at risk for an imbalance in body temperature. Hyperthermia would be indicated if the client's temperature were greater than 102°F. There is not enough information to determine whether the client is or is not experiencing anxiety or deficient fluid volume.
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A woman comes to an emergency department with a broken nose and multiple bruises after being beaten by her husband. She states, "The beatings have been getting worse, and I'm afraid, next time, he will kill me
" Which is the appropriate nursing response? 1. "Leopards don't change their spots, and neither will he." 2. "There are things you can do to prevent him from losing control." 3. "Let's talk about your options so that you don't have to go home." 4. "Why don't we call the police so that they can confront your husband with his behavior?"
Which is not correct regarding the Quality Data Model (QDM)?
a. pertains to quality service delivery and access to care b. pertains to electronic health record utilization c. enhances more standardized, less burdensome quality measurement and reporting d. is an information model
Which information would be most important to provide to a client who desires Depo-Provera (DMPA) for contraception?
a. Amenorrhea seldom occurs with the use of DMPA. b. Menstrual changes are a common side effect of DMPA. c. DMPA provides protection against STDs. d. DMPA injections must be administered every month.
The nurse is preparing to conduct a health history interview with a patient. Which is the best position for the nurse to assume during this process?
1) Leaning over the bed 2) Standing at the bedside 3) Sitting on the bed 4) Sitting on a chair at the bedside